Electronic Clinical Quality Measures (eCQMs)

Electronic clinical quality measures use data from electronic health records (EHR) and/or health information technology systems to measure health care quality. The Centers for Medicare and Medicaid Services (CMS) use eCQMs in a variety of quality incentive programs and to publicly report data about quality. eCQMs assist to quantify quality in the health care system. Measuring and reporting CQMs helps to make sure that care is delivered safely, effectively, equitably and timely.

Malnutrition Quality Improvement Initiative

The Academy is working with the National Quality Forum for endorsement of the four malnutrition electronic measures. The NQF endorsement process is designed to produce consensus from a broad spectrum of groups that each touch a different part of the healthcare system.

The four electronic clinical quality measures have also been submitted to CMS for review and acceptance into the Federal Quality Program - Hospital Inpatient Quality Reporting Program.

Measures Specification Manual

The Measures Specification Manual serves as a guide for practitioners to readily implement the malnutrition electronic clinical quality measures within their hospital systems. This manual provides an overview of the measures, specification of each measure including its rationale, available resources, and data element dictionary.

Overview and Downloadable Specification Files for the Malnutrition eCQMs:

  • NQF #3087: Completion of a Malnutrition Screening within 24 hours of Admission
  • NQF #3088: Completion of a Nutrition Assessment for Patients Identified as At-Risk for Malnutrition within 24 hours of a Malnutrition Screening
  • NQF #3089: Nutrition Care Plan for Patients Identified as Malnourished after a Completed Nutrition Assessment
  • NQF #3090: Appropriate Documentation of a Malnutrition Diagnosis

The table below lists the Academy’s four eCQMs for malnutrition with assigned NQF numbers and downloadable specification files. Included are hypertext markup language (HTML) file detailing the measure specification, two extensible markup language (XML) files coded for hospital adoption into an electronic health record (EHR) system, and an excel document resource file of with corresponding informatics value sets.

National Quality Forum (NQF) Number Electronic Clinical Quality Measure (eCQM) eMeasure Specification — HTML eMeasure — XML eMeasureSimple — XML Informatics Value Set
NQF #3087 Completion of a Malnutrition Screening within 24 hours of Admission HTML File Measure XML File Simple XML File Excel Spreadsheet
NQF #3088 Completion of a Nutrition Assessment for Patients Identified as At-Risk for Malnutrition within 24 hours of a Malnutrition Screening HTML File Measure XML File Simple XML File Excel Spreadsheet
NQF #3089 Nutrition Care Plan for Patients Identified as Malnourished after a Completed Nutrition Assessment HTML File Measure XML File Simple XML File Excel Spreadsheet
NQF #3090 Appropriate Documentation of a Malnutrition Diagnosis HTML File Measure XML File Simple XML File Excel Spreadsheet